Individual
ELIZABETH SHIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2015 MAPLEWOOD COMMONS DR, SAINT LOUIS, MO 63143-1003
(314) 293-4023
(314) 293-4285
Mailing address
2015 MAPLEWOOD COMMONS DR, SAINT LOUIS, MO 63143-1003
(314) 293-4023
(314) 293-4285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017013397
MO
363LF0000X
Family Nurse Practitioner
2016034064
MO
363LP2300X
Primary Care Nurse Practitioner
2017013397
MO
Other
Enumeration date
02/27/2017
Last updated
12/09/2024
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